Individual
COLLEEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6999 REISTERSTOWN RD STE 4, BALTIMORE, MD 21215-1492
(667) 600-3210
Mailing address
6999 REISTERSTOWN RD STE 4, BALTIMORE, MD 21215-1492
(667) 600-3210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22547
MD
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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